Ross M, Scott M
J R Coll Gen Pract. 1985 May;35(274):239-42.
Depressed patients were allocated randomly to individual cognitive therapy, group cognitive therapy or a waiting list ;treatment as usual' control group. Blind clinical and psychometric assessment of patients revealed that those who underwent cognitive therapy did significantly better than those on the waiting list. There was no significant difference between patients treated with group or individual cognitive therapy. Threatment gains were maintained at follow-up at 12 months. Prognostic characteristics for the selection of depressed patients for cognitive therapy on the basis of the chronicity and social stresses are identified. It is concluded that cognitive therapy is an effective treatment which can be applied cost-effectively in general practice.
抑郁症患者被随机分配到个体认知疗法组、团体认知疗法组或等待名单组(即“常规治疗”对照组)。对患者进行的盲法临床和心理测量评估显示,接受认知疗法的患者比等待名单组的患者表现明显更好。接受团体或个体认知疗法治疗的患者之间没有显著差异。治疗效果在12个月的随访中得以维持。确定了基于病程和社会压力为抑郁症患者选择认知疗法的预后特征。得出的结论是,认知疗法是一种有效的治疗方法,可在全科医疗中经济高效地应用。